Professional Development Coaching for Residents: Results of a 3-Year Positive Psychology Coaching Intervention

Palamara, Kerri; Kauffman, Carol; Chang, Yuchiao; Barreto, Esteban A.; Yu, Liyang; Bazari, Hasan; Donelan, Karen

doi:10.1007/s11606-018-4589-1

Cited by 44 publications

(49 citation statements)

References 4 publications

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“…In pediatrics, residents felt faculty coaches provided higher-quality feedback and incorporated more self-reflection and goal setting than non-coaches and coaches demonstrated increased confidence in delivering feedback on communication skills and goal setting compared to non-coaches [ 32 ]. Positive psychology coaching has been associated with reduced emotional exhaustion, increased coping skills, and a positive residency experience in internal medicine residents [ 34 , 35 ]. Post-operative coaching enhanced situational awareness, listening skills, and emergency decision-making in surgery residents [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and acceptability of virtually coaching residents on communication skills: a pilot study

et al. 2021

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Background Developing communication skills is a key competency for residents. Coaching, broadly accepted as a training modality in medical education, has been proven a successful tool for teaching communication skills. Little research is available thus far to investigate virtual coaching on communication skills for telemedicine encounters. The purpose of the study was to test the hypothesis that virtually coaching residents on communication skills is feasible and acceptable. We surveyed 21 resident-faculty pairs participating in a “fully virtual” coaching session (patient, coach, and resident were virtual). Methods We asked 50 neurology resident-faculty coach pairs to complete one “fully virtual” coaching session between May 20 and August 31, 2020. After each session, the resident and coach completed a 15-item survey, including Likert-style scale and open-ended questions, assessing feasibility and acceptability. Descriptive statistics and qualitative content and thematic analyses were performed. Results Forty-two percent (21/50) of all eligible residents completed “fully virtual” coaching sessions. The overall survey response rate was 91 % (38/42). The majority of respondents agreed that the direct observation and debriefing conversation were easy to schedule and occurred without technical difficulties and that debriefing elements (self-reflection, feedback, takeaways) were useful for residents. Ninety-five percent of respondents rated the coach’s virtual presence to be not at all disruptive to the resident-patient interaction. Virtual coaching alleviated resident stress associated with observation and was perceived as an opportunity for immediate feedback and a unique approach for resident education that will persist into the future. Conclusions In this pilot study, residents and faculty coaches found virtual coaching on communication skills feasible and acceptable for telemedicine encounters. Many elements of our intervention may be adoptable by other residency programs. For example, residents may share their communication goals with clinic faculty supervisors and then invite them to directly observe virtual encounters what could facilitate targeted feedback related to the resident’s goals. Moreover, virtual coaching on communication skills in both the in-person and telemedicine settings may particularly benefit residents in challenging encounters such as those with cognitively impaired patients or with surrogate decision-makers.

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Section: Discussionmentioning

confidence: 99%

Feasibility and acceptability of virtually coaching residents on communication skills: a pilot study

et al. 2021

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“…The manner in which decisions are made at the department level is also important—leadership teams eliciting provider feedback and empowering employees to drive change can increase feelings of control among staff 32 . Providing coaching that helps physicians maximize personal efficacy may be helpful as well 33 …”

Section: The Frameworkmentioning

confidence: 99%

Beyond the Maslach burnout inventory: addressing emergency medicine burnout with Maslach's full theory

et al. 2020

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Burnout, a psychological syndrome emerging as a prolonged response to chronic interpersonal stressors on the job, remains a substantial problem for emergency physicians, leading to decreased quality of care and attrition from the workforce. The majority of prior work on burnout in emergency medicine has focused on individualized solutions, which have demonstrated modest efficacy for ameliorating burnout. However, recent studies suggest that burnout in medicine is primarily caused by workplace factors (eg, unmanageable workloads, unreasonable time pressures) and therefore requires solutions at an organizational level. In her decades of research across industries, Christina Maslach identified 6 domains of organizations that can either promote engagement or lead to burnout. In this article, we apply Maslach's 6 domains to emergency medicine to provide a systematic framework for alleviating burnout and promoting engagement among emergency physicians. By considering the domains of workload, reward, control, fairness, community, and value congruence, emergency medicine leaders can develop and deploy more effective interventions aimed at improving the experience and longevity of physicians across our specialty.

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“…Another recent study involving residents revealed that coaching develops awareness of academic accomplishment, interpersonal communication skills, and professional behaviors [23]. Positive psychology coaching uses a strengths-based approach to help physicians identify and achieve positive emotions, create meaningful relationships, increase engagement and purpose, and develop coping skills for personal and professional stressors, including communication, improving resilience, team building, and mindfulness [14,19,21,[24][25][26]. Health and wellness coaching, which integrates positive psychology and promotes healthy behavior change as a means of averting or mitigating chronic life style-related diseases, remains a relatively unexplored potential treatment for burnout and stress management [13,[27][28][29].…”

Section: Coaching and Positive Psychologymentioning

confidence: 99%

“…Besides contributing to medical error and suicide, burnout is associated with higher rates of depression, anxiety, and substance use disorder among physicians relative to the general public [3][4][5]12]. To focus on the growing emotional and psychological needs of radiologists, we offer an introduction to the practice of coaching using positive psychology, which is an emerging, promising approach to address burnout [13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

“…Perceptive reflections can be transformative as the client hears the emotions and intent of his or her own words, inspiring ideas and supporting the case for positive change.Many radiologists may be unaware of the importance of professional coaching or fearful of approaching leadership to request coaching support. Yet coaching can benefit individual clients and organizations on multiple levels, including wellbeing, engagement, communication, team building, resilience, and productivity[13,14,19,21,23,[24][25][26]35]. How can radiologists and radiology departments incorporate coaching into their practice models?…”

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confidence: 99%

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Analysis of Out-of-Pocket Cost of Lung Cancer Screening for Uninsured Patients Among ACR-Accredited Imaging Centers

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Fischl-Lanzoni

et al. 2020

Journal of the American College of Radiology

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Professional Development Coaching for Residents: Results of a 3-Year Positive Psychology Coaching Intervention

Cited by 44 publications

References 4 publications

Feasibility and acceptability of virtually coaching residents on communication skills: a pilot study

Feasibility and acceptability of virtually coaching residents on communication skills: a pilot study

Beyond the Maslach burnout inventory: addressing emergency medicine burnout with Maslach's full theory

Analysis of Out-of-Pocket Cost of Lung Cancer Screening for Uninsured Patients Among ACR-Accredited Imaging Centers

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